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Remote Rcm Specialist Jobs in Virginia (NOW HIRING)

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Remote / On-site Department: Revenue Cycle Management Overview: CMCI is seeking a detail-oriented ... Revenue CycleManagement (RCM): * Oversee theentire claims lifecycle, from eligibility verification ...

Deloitte

Epic Denials Management Operator

Richmond, VA · Remote

$17.75 - $23.75/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Deloitte

Epic Denials Management Operator

Mclean, VA · Remote

$18.25 - $24.25/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

Deloitte

Epic Denials Management Operator

Rosslyn, VA · Remote

$20.50 - $27.25/hr

... RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This is a primarily remote role ...

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Remote Rcm Specialist information

What challenges do remote RCM specialists face and how can they overcome them?

Remote RCM Specialists often encounter challenges such as maintaining clear communication with healthcare providers, staying updated on regulatory changes, and managing sensitive data securely. To overcome these, it's important to use robust collaboration tools, participate in ongoing training, and adhere to best practices for data privacy. Proactive organization and regular check-ins with team members also help ensure seamless workflow and high accuracy in billing and coding tasks.

What is a remote RCM specialist?

Remote RCM (Revenue Cycle Management) Specialists are professionals who manage the financial processes related to healthcare billing and payments from a remote location. Their primary responsibilities include handling patient billing, insurance claims, payment collection, and ensuring compliance with healthcare regulations. By performing these tasks remotely, they help healthcare providers maintain efficient revenue cycles while reducing overhead costs. Remote RCM Specialists also work with various software systems to monitor accounts and resolve billing issues.

What skills and qualifications are needed to be a remote RCM specialist?

To thrive as a Remote RCM (Revenue Cycle Management) Specialist, you need strong knowledge of medical billing, coding procedures, insurance claims, and typically experience with healthcare administration or a related field. Familiarity with billing software, electronic health records (EHR) systems, and certifications like Certified Revenue Cycle Specialist (CRCS) are often required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for resolving discrepancies and collaborating with healthcare providers remotely. These skills ensure accurate, timely revenue collection and compliance, which are vital for the financial health of healthcare organizations.

What is the difference between Remote Rcm Specialist vs Remote Medical Billing Specialist?

AspectRemote Rcm SpecialistRemote Medical Billing Specialist
CredentialsCertification in Revenue Cycle Management, CPC or equivalentCertification in Medical Billing, CPC or similar
Work EnvironmentHealthcare providers, hospitals, clinicsMedical offices, billing companies, healthcare facilities
Job FocusEnd-to-end revenue cycle, including claims processing and denial managementProcessing claims, invoicing, and payment posting

The Remote Rcm Specialist and Remote Medical Billing Specialist roles share similar credentials and work environments, often overlapping in healthcare settings. However, the Rcm Specialist typically handles a broader scope of revenue cycle tasks, including denial management and collections, while the Medical Billing Specialist focuses primarily on claims submission and payment posting. Both roles are essential in healthcare revenue management and are frequently searched for by professionals seeking remote opportunities in healthcare billing and revenue cycle management.

What are popular job titles related to Remote Rcm Specialist jobs in Virginia? For Remote Rcm Specialist jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Rcm Specialist jobs in Virginia look for? The top searched job categories for Remote Rcm Specialist jobs in Virginia are:
What cities in Virginia are hiring for Remote Rcm Specialist jobs? Cities in Virginia with the most Remote Rcm Specialist job openings:
Remote Rcm Specialist jobs near you
Infographic showing various Remote Rcm Specialist job openings in Virginia as of July 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 33% In-person, and 67% Remote job distribution.

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Re-posted 2 days ago

Job description


Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations

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